Blooming Pediatric & Family Nurse Practitioners PLLC
NPI 1801548177ActiveOrganization· Nurse Practitioner, Family· New Hartford, NY
Nurse Practitioner, Family in New Hartford, New York, registered in NPPES in January 2022. The authorized official on file is Coral Montana, NP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1801548177 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 19, 2022 |
| Last updated in NPPES | Jan 19, 2022 |
| Certified by provider | Jan 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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